The album was produced by Neverland Express guitarist Paul Crook.[13] Songwriters who had worked on his previous album also made a return, including Gregory Becker and John Paul White ("Let's Be in Love") and Tommy Henriksen (co-author of the digital bonus track "Prize Fight Lover"). Also prominently featured on the album is songwriter Sean McConnell, whose contributions were originally developed for Hang Cool Teddy Bear but wound up being discarded as the album took a different direction creatively (however, he is still thanked in that album's liner notes).[14] The album was released on Legacy Recordings, the catalog division of Sony Music Entertainment, which overseas Meat Loaf's back catalog of releases on the Sony-owned Epic and Arista labels.

Due to the lengthy gaps between releases in various regions, Meat Loaf has intimated in response to public demand that there is still time for longtime collaborator Jim Steinman to make a contribution to the album in its internationally released form. Meat Loaf concluded by noting "don't rule it out."[15] This was a more specific variation on a previous statement, namely that he would work with Steinman again but that Steinman "doesn't know it yet."[16] Speculation has since occurred as to what the contribution may be. As recently as September 2008, Steinman stated on his website he was creating an album as a promotional tie-in to the forthcoming Bat Out of Hell musical with a working title of Bat Out of Hell: The Climax or The Final at Bat, which would feature "new versions of classic BOOH 1&2 songs, and ALL the brand newest songs, sung by many amazing artists." He hastened to add that there was "NO REASON Meat couldnt [sic] sing these too."[17]

The title "Hell in a Handbasket" refers to the popular saying that things are going "to hell in a handbasket." According to Meat Loaf, he chose the title because "the world's gone to hell in a handbasket and every day that I listen to the news, I think the handbasket is getting bigger."[18]

Meat Loaf embarked on the Guilty Pleasure Tour across Australia and New Zealand in October 2011 in support of the album, receiving mixed reviews for his vocal performance.[citation needed] The show in Sydney was recorded for DVD release.